FDA Adverse Event Malfunction Summary report: N

ENDURANT STENT GRAFT

MDR report key: 14276999 · Received May 4, 2022

Report

Report Number
9612164-2022-01647
Event Type
Malfunction
Date Received
May 4, 2022
Date of Event
December 20, 2021
Report Date
May 3, 2022
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM A JOURNAL ARTICLE ENTITLED; THE PREDICTIVE VALUE OF ELLIPTICAL NECK PARAMETERS AND OVERSIZING RATIO FOR TYPE IA ENDOLEAKS AFTER ENDOVASCULAR ANEURYSM REPAIR QING ET AL, J VASC INTERV RADIOL 2022; 33:375¿383 HTTPS://DOI.ORG/10.1016/J.JVIR.2021.12.020. PT INFO: MEAN AGE, MEAN GENDER, EXACT DATE OF IMPLANT UNKNOWN. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

ENDURANT STENT GRAFTS WERE IMPLANTED DURING THE ENDOVASCULAR TREATMENT OF ABDOMINAL AORTIC ANEURYSMS ON UNKNOWN DATES. THE FOLLOWING ADVERSE EVENTS WERE REPORTED: TYPE IA ENDOLEAKS. THE CAUSE OF THE TYPE IA ENDOLEAKS ARE UNDETERMINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2001945 ENDURANT STENT GRAFT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TR MIH MEDTRONIC IRELAND UNK-CV-SR-ENDURANT

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male